Question A family comes into the pediatric emergency department with a young child suffering from severe respiratory distress and high fever. The child is 3 years old but appears to be very small and thin for the stated age. The family has two other children and is accompanied by an older gentleman in a wheelchair. The family states that they just recently immigrated to the United States and currently have no source of income. They are staying in a small room of a cousin's apartment. The other children are ages 5 and 7. The family has no insurance and expressed grave concern about finances and their ability to pay for any prescriptions or copayments that may be required to secure care for their ill child. The child has a fever of 102 3°F is tachypnic at 44 breaths per minute, has mild to poor skin turgor, and has not voided in many hours. There is a history of asthma in the family, but this child has no history of reactive airway disease and no previous experiences of respira tory distress. Upon further assessment, the child demonstrates delays in expected motor and verbal development. The pediatric team is concerned about the possibility of this child being
Chapter 26 The Abused Child 151 neglected and wants to determine whether the neglect is intentional or unintentional. Describe what your next steps would be in this complicated clinical scenario: THERAPEUTIC COMMUNICATION Short Answer Questions A young infant has been hospitalized for severe malnutrition and delays in expected growth and
CONCEPTUAL CORNERSTONES: DEVELOPMENT Short Answer CONCEPTUAL CORNERSTONES: DEVELOPMENT Short Answer Question A family comes into the pediatric emergency department with a
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